216 NO. STREET
1� P�P1 TION FO BUILDING PERMIT
W CITY OF CUPERTINO
0 , Sanitary No.
5 JAN 21 1965 �
196_ Permit No.�cq-/
o
CITYApplyfatiQr sPhereeb made for a permit to
z 3 Ur�` Building
<
w only
,. to be occupiedy as
0 o in accordance with Plans,Specifications and Plot-Plan file rewith. OO
0 N o0 ,,7`
3 Estimated Value of Improvements, 5 Fez S T
i J It is hereby agreed that the requirements of the Cupertino Building and Zoning Ordinances and
all other laws applicable to the construction, locatioq, and use of buildings within the City of
I Cupertino will be complied with. �Dp —t
3 Owner RUN �IOQ Ov D� &/& 7
Address ��
W By ���� Address
0
hone 313 • 3/O "�/ ��Approved
State Licens — nmrOmlc tNsvec oa
RECORD OF INSPECTION APPROVALS
FOUNDATION
DATE. INSPECTOR
UNDERFLOOR
DATE INSPECTOR
FRAME
DATE. INSPECTOR
LATH and PLASTER
DATE INSPECTOR
FINAL BLDG. j
DATE INSPECTOR
FINAL ELEC. j
DATE. INSPECTOR
FINAL PLBG.
DATE INSPECTOR
FINAL GAS
DATE. INSPECTOR